JASON GONZALEZ
Oak Lawn,IL
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
17
17
years of professional experience
Work History
Financial Clearance Specialist
Northwestern Medicine
Warrenville, Illinois
01.2024 - Current
- Ensured that all necessary documentation was completed correctly prior to submitting it for final review.
- Conducted interviews with applicants to verify information provided on their security clearance forms.
- Researched and responded to inquiries from internal staff members concerning the status of an individual's security clearance application process.
- Prepared reports summarizing authorization trends, pending requests, denials.
- Researched and resolved any discrepancies between provider documentation and insurance company requirements.
- Participated in meetings with senior management personnel discussing changes in policy or procedure related to authorizations processes.
- Assisted in the development of authorization procedures for providers and staff members.
- Reviewed and processed prior authorization requests from healthcare providers to determine eligibility for services.
- Coordinated with external vendors such as labs or imaging centers to obtain required documents needed for an authorization request.
- Collaborated with internal departments such as billing office and patient access to ensure accuracy of information submitted for authorizations requests.
- Processed appeals when necessary due to denied authorizations from health plans.
Financial Counselor
Pillars Community Health Center
La Grange, IL
09.2015 - 01.2024
- Addressed inquires from patients about Pillars community health programs.
- Conducted intake appointments to determine eligibility for benefit programs in accordance with agency eligibility criteria.
- Helped consumers navigate simplified Explanation of Benefits (EOBs) for better comprehension.
- Scheduled appointments for clients to register for clinical services and /or for other assistance programs.
- Obtained and verified information on required forms to ensure eligibility requirements.
- Verified patient Medicaid, Medicare, private and secondary insurances eligibility through appropriate databases and other tools as directed.
- Reviewed documents for accuracy prior to submission or publication.
- Resolved inquiries related to billing issues.
- Implemented process improvements to increase efficiency and reduce costs..
- Created training materials for new hires on the company's procedures and policies.
- Monitored changes in the healthcare industry to ensure compliance with regulations.
- Adhered to OSHA guidelines and safe work environment.
- Explained coverage options to potential policyholders, answering questions or concerns.
- Conducted comprehensive financial assessments with clients to identify their current financial situation and develop appropriate action plans.
- Worked closely with insurance companies to ensure accurate reimbursement for services rendered.
- Advocated for patient rights when dealing with third-party payers.
- Assisted patients in understanding the details of their bills, including deductibles and co-pays.
- Reviewed accounts receivable reports to identify delinquent payments from insurance companies or patients.
- Identified potential bad debt write-offs by analyzing patient accounts.
Financial Health Counselor
PCC Wellness Center
Chicago, IL
06.2014 - 06.2015
- Facilitated promotional and educational events/talks in community
- Provided information that is culturally and linguistically appropriate to meet the needs of the population being served by the Illinois Health Insurance Marketplace
- Submitted weekly report to lead agency on number of individuals contacted and nature of contact and enrollment data
- Participated in special events designed to promote the In-Person Counseling deliverables
- Planned events, educate via small group session, facilitate enrollment and responsible for all data entry related to program
- Collaborated with outside agencies, organizations and businesses to develop programming
- Facilitated actual enrollment of insurance plan
- Provided referrals to the appropriate entity or agency for consumers with a grievance, question or complaint.
Mobile Phone Technician/Customer Service Rep.
SPRINT BY WIRELESS LIFESTYLE
Chicago, IL
06.2008 - 04.2014
- Provided hands-on assistance and troubleshooting of all mobile phone equipment failures and service issues
- Conducted analysis with the customers on how the mobile phone broke down before proceeding with the repairs
- Referred to mobile phone manuals to ensure the repairs done to the units are accurate
- Provided high quality customer service
- Made outbound calls for prospecting opportunities and customer follow-up
- Carried out repairs on mobile phones to improve the phones' productivity
- Provided training and technical expertise on usage of mobile phone equipment and the voice mail system
- Placed phone equipment orders
- Trained newly hired technicians for repairing cell phone units.
Education
GED -
Steinmentz High School
Chicago, ILSome College (No Degree) - Behavioral Science
Wilbur Wright College
Chicago, ILSkills
- Microsoft Word
- Excel
- Bilingual
- Excellent oral communication skills
- Excellent written communication skills
- Highly organized
- Flexible
- Ability to multitask
- Ability to meet deadlines
- Reliability
- Insurance Verification
- Healthcare insurance knowledge
- Knowledge of EMR software such as Epic, Cintricty and eClinical works
Timeline
Financial Clearance Specialist
Northwestern Medicine
01.2024 - Current
Financial Counselor
Pillars Community Health Center
09.2015 - 01.2024
Financial Health Counselor
PCC Wellness Center
06.2014 - 06.2015
Mobile Phone Technician/Customer Service Rep.
SPRINT BY WIRELESS LIFESTYLE
06.2008 - 04.2014
GED -
Steinmentz High School
Some College (No Degree) - Behavioral Science
Wilbur Wright College
References
References Provided Upon Request
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